Fillable 13 Hr Pa Withholding 0 (Hagerstown Community College)

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13 Hr Pa Withholding 0 (Hagerstown Community College)

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‘
PA
ew-t’
RAGE
RSTOWN
COMMUNITY
COLLEGE
11400
Robrnwood
Drive
•
Hagerstnwn,
\Iarvland
21742-b590
•
301-790-00
•
www.hagerstownce.edu
Letter
of
Authorization
I,
______________________________________
authorize
Hagerstown
Community
College
to
(Employee
Name)
withhold
the
Pennsylvania
local
1%
tax
from
my
salary.
AcW
umun+
1
dct*4
_____
PA
S+k
?j
Signature
Current
Address
(including
township)
Street
City,
State,
Zip
Township
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13 Hr Pa Withholding 0 (Hagerstown Community College)

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Completed 25 July 2020

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